LE-BEN WAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036179132

License Status

ACTIVE

Business

Title

First Name

LE-BEN

Last Name

WAN

Business Name

LE-BEN WAN MD

Original Issue Date

03/04/2026

Effective Date

03/04/2026

Expiration Date

07/31/2026

City

LONG ISLAND CITY

State

Zip

11101

Ever Disciplined

LastModifiedDate

03/04/2026